Youth Choir

Child's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
School Please enter valid data.

Parent's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
If someone other than the above is responsible for the child’s pick up please include their contact information here:

Parental Involvement

Confirmation Email REQUIRED Please fill out this field. Please enter an email address.

St. Susanna Youth Choir